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Poverty Related Education in Pediatrics: Current State, Gaps and Call to Action
Melissa Klein1, Elizabeth Hanson2, Cara Lichtenstein3
1Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine (M Klein), Cincinnati, Ohio.
Insights
Pediatric medical education must improve training on poverty and racism to address child health inequities. Enhanced curricula and faculty development are crucial for equipping future physicians to tackle these social determinants of health.
Area of Science:
- Pediatric Medical Education
- Social Determinants of Health
- Health Equity
Background:
- 1 in 6 children (12 million) live in poverty, a critical issue impacting child health.
- COVID-19 exacerbated existing inequities, highlighting the need for medical professionals to address poverty's health effects.
- Poverty, racism, and social factors significantly affect child health and well-being, necessitating targeted educational interventions.
Purpose of the Study:
- To assess the current state of poverty-related training in pediatric medical education (undergraduate, graduate, continuing).
- To identify gaps and opportunities for enhancing curricula, focusing on the intersectionality of poverty and racism.
- To propose a framework for developing effective, outcome-oriented poverty-related education and training.
Main Methods:
- Review of current pediatric medical education curricula regarding poverty and related health inequities.
- Application of a logic model framework to outline educational content, learning strategies, and desired outcomes.
- Emphasis on community partnerships, technology integration, faculty development, and robust evaluation methods.
Main Results:
- Significant gaps exist in current pediatric medical education concerning poverty and its intersection with racism.
- Need for robust evaluation of poverty-related training programs is identified.
- Opportunities for incorporating best practices, technology, and community-based learning are highlighted.
Conclusions:
- There is a critical need to enhance pediatric medical education to address poverty-related health inequities.
- Collaboration among institutions, accrediting bodies, and policymakers is essential for systemic change.
- Developing skilled educators and mentors is vital for advancing poverty-focused medical training.
Abstract:
Children are the poorest age group in our country, with 1 in 6, or 12 million, living in poverty. This sobering statistic became even more appalling in spring 2020 when COVID-19 magnified existing inequities. These inequities are particularly important to pediatricians, because poverty, along with racism and other interrelated social factors, significantly impact overall child health and well-being. It is imperative that pediatric educators redouble their efforts to train learners to recognize and address health inequities related to poverty and all of its counterparts. In this paper, we describe the current state of poverty-related training in pediatric undergraduate, graduate, and continuing medical education as well as opportunities for growth. We highlight gaps in the current curricula, particularly around the intersectionality between poverty and racism, as well as the need for robust evaluation. Using a logic model framework, we outline content, learning strategies, and outcomes for poverty-related education. We include opportunities for the deployment of best practice learning strategies and the incorporation of newer technologies to deliver the content. We assert that collaboration with community partners is critical to shape the depth and breadth of education. Finally, we emphasize the paramount need for high-quality faculty development and accessible career paths to create the cadre of role models and mentors necessary to lead this work. We conclude with a call for collaboration between institutions, accrediting bodies, and policymakers to promote meaningful, outcome-oriented, poverty-related education, and training throughout the medical education continuum.
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